| NPI | 1740528710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN TODD MERKLEY Owner 208-525-2090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: ID RNA-774) |
| Enumeration Date | 2013-01-24 |
| Last Update Date | 2013-01-24 |